Trauma-Informed Care

Koetting, Cathy

doi:10.1097/cnj.0000000000000315

Cited by 10 publications

(7 citation statements)

References 17 publications

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“…Hipolito et al (2014) found that spirituality and personal empowerment increase mental health and general well-being, especially related to childhood and/or adult trauma. Koetting (2016) recommended that healthcare workers offer care within the individual's faith, religion, and spiritual background. Carefully completing a spiritual assessment is considered an essential intervention in the delivery of trauma-informed care.…”

Section: Spiritual Elements Of Carementioning

confidence: 99%

“…Carefully completing a spiritual assessment is considered an essential intervention in the delivery of trauma-informed care. “This assessment must be sensitive and use nonsuggestive language, be patient-centered, and most importantly, done at a time that is most relevant to the patient such as when they want spiritual help” (Koetting, 2016, p. 211). Nurses can more fully serve patients by collaborating with chaplains and spiritual leaders of the patient's faith background or in the community (Koetting, 2016).…”

Section: Spiritual Elements Of Carementioning

confidence: 99%

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Recognizing the Trauma of Adverse Childhood Experiences

Cole

2021

Journal of Christian Nursing

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The Center for Disease Control's Adverse Childhood Experience (ACEs) Study has identified 10 kinds of traumatic events that often occur in families that are "stressed out" by things like substance abuse, extreme poverty, mental illness, being homeless, or being moved around all the time. Having things like this happen in childhood can have a lasting effect on your physical and mental health. Take a look at the categories below. Exposure to one type (not incident) of ACE, qualifies as one point. An ACE Score of 0 (zero) indicates no exposure, while an ACE score of 10 indicates exposure to all trauma categories. INSTRUCTIONS: 1) Identify and list a few of your strengths -how did you survive? Some things about you that you really like? 2) Read the ACE definitions and identify any things you experienced in the family (or families) you grew up in BEFORE THE AGE OF 10. Then enter your score (either zero or 1) for each type of trauma. Add your scores to get your Trauma Dose. 3) Complete the NOW column. 4) Then complete the HOW questions. You're encouraged to discuss your answers with a Counselor or Therapist.

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Section: Spiritual Elements Of Carementioning

confidence: 99%

Section: Spiritual Elements Of Carementioning

confidence: 99%

Recognizing the Trauma of Adverse Childhood Experiences

Cole

2021

Journal of Christian Nursing

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“…The two work together to create a client who is empowered and has a voice in the change process. Finally, trauma-informed care (TIC) is an evidence-based approach that recognizes the impact of past trauma on current health and patient care experience [18]. TIC focuses on engaging clients in a collaborative, non-judgmental style with an appreciation for the way trauma influences health behavior [19].…”

Section: Motivational Interviewingmentioning

confidence: 99%

Use of a Health Advocacy Model for Survivors of Interpersonal Violence

Grace

Walters

Gallegos

et al. 2020

IJERPH

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This article examines the implementation of a health advocacy model designed for survivors of interpersonal violence (IPV) in a metropolitan area of North Texas. Using a framework influenced by motivational interviewing, solution-focused therapy, and trauma-informed care, this program engaged IPV survivors in creating health and safety goals. Goal attainment scaling was used to track progress after each health advocacy encounter. Clients could set their own goals for healthcare, self-care, and safety. The program served 419 clients and 648 goals were set by clients at the first visit. Among all goals, 89% selected goals focused on healthcare, with 47% of those selecting obtaining health insurance or coverage as a need. These results demonstrate the need for an enhanced healthcare response for this population. The remaining goals selected were self-care (7%) and safety (3%). The design of the health advocacy intervention shows promise towards filling the gaps between IPV and healthcare service delivery systems.

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“…2 Furthermore, TIC includes adherence to the following key principles: (1) safety, (2) trustworthiness, (3) peer support, (4) collaboration, (5) empowerment and choice, and (6) cultural, historical, and sex issues. 2,8 TIC has historically been used among health professionals in social work, mental health, child services, and the juvenile justice program to inform their work, but it has not been routinely practiced by pediatric healthcare professionals. 1,8 Now with increasing evidence that TIC can lead to improved patient care outcomes, healthcare institutions are recognizing the importance of clinician competency in TIC.…”

Section: Introductionmentioning

confidence: 99%

“…2,8 TIC has historically been used among health professionals in social work, mental health, child services, and the juvenile justice program to inform their work, but it has not been routinely practiced by pediatric healthcare professionals. 1,8 Now with increasing evidence that TIC can lead to improved patient care outcomes, healthcare institutions are recognizing the importance of clinician competency in TIC. 9,10 In 2014, the AAP’s (American Academy of Pediatrics) “Trauma Toolbox for Primary Care” highlighted the role of a trauma-informed approach in addressing childhood adversity and trauma in the pediatric primary care setting.…”

Section: Introductionmentioning

confidence: 99%

Becoming Trauma Informed: Validating a Tool to Assess Health Professional’s Knowledge, Attitude, and Practice

King

Chen

Chokshi

2019

Pediatric Quality &Amp; Safety

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Introduction:To effectively address the negative health effects of early childhood trauma and adversity, healthcare professionals and healthcare institutions must understand the impact of adverse childhood experiences and trauma on health. This study aimed to validate a tool to assess knowledge, attitude, and practice of trauma-informed care among interdisciplinary pediatric healthcare staff.Methods:A 36-item survey tool, “Knowledge, Attitudes, and Practices of Trauma-Informed Practice,” was adopted and modified with permission from the author. We administered the survey electronically to 2,659 staff at a pediatric healthcare institution. To assess the tool’s reliability and validity, internal consistency reliability testing, content validity, and construct validity assessments were conducted.Results:A total of 592 surveys were collected, representing a 22.3% response rate. Confirmatory factor analysis revealed that 21 items provided the strongest internal consistency reliability for the overall tool and each factor. The overall Cronbach’s alpha for the 21-item tool was 0.86, with 0.84 for the knowledge factor, 0.74 for the attitude factor, and 0.78 for the practice factor. The goodness of fit based on this analysis was good to adequate, with a 0.077 root mean square error of approximation.Conclusions:Healthcare professionals and organizations are in a unique position to improve the health and well-being of their patients by implementing a trauma-informed approach to minimize the impact of adverse childhood experiences and trauma. This validated tool will allow organizations to identify gaps in knowledge, attitude, and practice among staff to subsequently begin developing pointed strategies to achieve a culture of trauma-informed practice.

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Trauma-Informed Care

Cited by 10 publications

References 17 publications

Recognizing the Trauma of Adverse Childhood Experiences

Recognizing the Trauma of Adverse Childhood Experiences

Use of a Health Advocacy Model for Survivors of Interpersonal Violence

Becoming Trauma Informed: Validating a Tool to Assess Health Professional’s Knowledge, Attitude, and Practice

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